Individual
JAYSON SERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25604 HIGHWAY 112, CAMERON, OK 74932-2612
(479) 357-5140
Mailing address
610 S CHURCH ST, POTEAU, OK 74953-3812
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
26-533410
AR
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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